BONNER COUNTY PLANNING DEPARTMENT 1500 HIGHWAY 2, SUITE 208, SANDPOINT, ID 83864 (208) 265-1458 (208) 265-1463 (FAX)

planning@bonnercountyid.gov (email) www.bonnercountyid.gov (web page)

BUILDING LOCATION PERMIT APPLICATION PROPERTY OWNER: PERMIT#

MAILING ADDRESS: PHONE: CELL:

CITY: STATE: ZIP: E-MAIL(optional):

LEGAL DESCRIPTION: Tax #: Section: Township: Range: Site Acreage:

Subdivision Name: Homeowner Built: Yes No If No provide Contractor Registration #:

Describe Use of Structure (see attached information sheet):

Block: Lot:

STRUCTURAL DETAIL CLASS OF WORK IS BUILDING SITE OR ACCESS ROAD: YES NO Mobile/ Manufactured Home Attach a copy of the title OR Floor Plan of “New Model”(Current Year)

# of units_____________ New Within 300 feet of any surface water? Year: On or within 300 feet of a 15% or greater slope? Make:

# of stories____________ Addition Within a subdivision requiring Stormwater plans? ID#:

Sq footage____________

Deck _______________ Remodel

Is the use commercial or industrial? Size: If YES to any of the above, a stormwater and/or erosion

control plan & fees are required AGENCY AUTHORIZATIONS

Attached garage sq. footage____________ Change of use Within a special flood hazard area? If YES a

Flood Development Permit (FDP) & fees are required Fire District:

Type of heating

_______________________________

Other

__________________ Does the site contain mapped wetlands?

Local Road Jurisdiction:

Maximum lot coverage not to exceed 35%. Current lot coverage ________% Proposed lot coverage _______%

Address: Y / N _________________

APPLICANT/REPRESENTATIVE SIGNATURE: I/We certify that I/We have read and examined this application and know the statements and depictions to be true and correct. I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval from Bonner County Planning Department. I/We understand that additional information may be necessary for a complete review of this application by the Planning Department, and submission of this application does not constitute approval. I/We further grant permission to Bonner County employees or officials to enter upon the subject land to make examinations or review the premises relative to this application.

SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DATE

NOTICE: Nothing in the processing or granting of this permit shall be construed to relieve an applicant from compliance with any other requirements contained within Bonner County Revised Code, Idaho Code, state or federal regulations.

Address/Access Road Name:

Parcel #

Zoning District:

Flood Zone:

Panel #

Floodplain Manager:

EXPIRATION: This permit shall expire and become null and void if the building or work authorized by the permit is not commenced within (1) year from issuance or if the building or work is suspended or abandoned at any time after the work is commenced for a period of more than (1) year. A one-time extension of an unexpired permit, not to exceed (1) year, may be granted upon written request by the permitee, provided circumstances beyond the control of the permitee have prevented action from being taken. See 11-101 BCRC for definition of start of construction.

Commencement of construction or time extension to be received prior to:

Date of:____________________ Extension granted to:______________

BLP: $________________

$________________ Flood Development Permit #

TECH FEE: $ 25.00Receipt #’s

BV: $__________________ EC/SW: $__________________ DP: $__________________ TIME EXT: $__________________ TOTAL FEES: $__________________

CONDITIONS OF APPROVAL: (For Planner Use Only)

PERMIT APPROVAL: (Permit is considered issued and approved when stamped, signed and initialed by a Planning Department official in this space.)

DATE RECEIVED:

Call Mail _________________________________

_________________________________ Staff initials outgoing ____ Staff initials intake ____

BUILDING LOCATION PERMIT PAGE 2 - SITE PLAN

OWNER:

PERMIT#:

COMPLETE THE SITE PLAN BELOW, DEPICTING THE FOLLOWING: Property lines of the property to be developed

Location of front door & dimensions of proposed structure Locations and uses of all existing and proposed structures ________________________________________________ Septic tanks, leach fields and wells, if applicable Signature of Owner/Authorized Representative All bodies of water within 300 feet of the proposed building site and

any wetlands on site. Distance from property lines to architectural projections for all proposed structures _______________________________________________ All public or private roads providing access to the site; indicate primary access. Date

All easements of record (utility, road, etc)

Direction to site:_____________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________

INDICATE

NORTH IN

CIRCLE

PARCEL HISTORY/COMMENTS: (For office use only)

DATE RECEIVED:

\\7B-ADMIN1\common\Planning\Development Review\Application Forms\BLP\Diagramatic Floor Plan.doc March 2009

USE THIS SHEET FOR THE DRAWING OF THE

DIAGRAMMATIC FLOOR PLAN SHOWING ALL LEVELS OF THE PROPOSED STRUCTURE

OR ATTACH YOUR DRAWINGS (NO LARGER THAN 11 X 17)

Signature of Owner(s) or Authorized Representative

Signature/Date____________________

\\7B-ADMIN1\common\Planning\Development Review\Application Forms\BLP\Elevation Drawings.doc October 2010

USE THIS SHEET FOR THE DRAWING OF THE FRONT AND

SIDE ELEVATIONS OF THE PROPOSED STRUCTURE OR

ATTACH YOUR DRAWINGS (NO LARGER THAN 11 X 17)

Signature of Owner(s) or Authorized Representative

Signature/Date____________________

BUILDING LOCATION PERMIT SITE INPSECTION REPORT

RP# _________________________________________________________________ BLP#:_________________ BV#:__________________ FDP#:___________________

APPLICANT PLEASE COMPLETE

NAME:

SITE ADDRESS:

ESTIMATED CONSTRUCTION START DATE:

CONTRACTOR/CONTACT PERSON: PHONE #

DIRECTIONS TO SITE:

OFFICIAL PLANNING USE ONLY

INITIAL INSPECTION DATE:

STATUS OF PROJECT:

Structure staked Footer/foundation excavated Concrete footers placed

Poles set Construction underway Structure completed

How were property lines identified?

Assisted by owner/contractor/neighbor Survey pins/stakes String line

Ample distance to property line Fencing Flagging

Are setbacks met as shown in site plan? Yes No

Does the site plan show existing structures? Yes No N. A.

Is the age/model of manufacture home shown on permit? Yes No N. A.

Does construction appear to conform to application? Yes No

Is the BLP posted? Yes No

Comments/status/visits/corrective action:

FINAL INSPECTION DATE:

Does the structure conform to the permit? Yes No

INSPECTED BY: